BUSINESS DETAILS

Name of Business:

Trading Name (if different):

Type of Business:

Business Address:

Post Code:

Telephone:

Fax:

Website:

Co. Reg. No. (if Ltd.)

VAT No. (if VAT registered)

Date Established/Bought

Are the business premises owned by the proprietor(s): YES  NO

INVOICING DETAILS

Invoice to (if different from above):

Address:

Post Code:

Invoice Contact Telephone:

Any special invoicing information:

DELIVERY DETAILS

Deliver to (if different from above):

Address:

Post Code:

Delivery Contact Telephone:

Any special delivery conditions:

BUYER DETAILS

Who orders goods:

Buyer Telephone:

Buyer Fax:

Buyer E-mail address:

Preferred method of contact:

Phone   e-mail  Fax

ACCOUNTS CONTACT

Payment Contact:

Accounts Telephone:

Accounts Fax:

Accounts E-mail address:

How would you like your statements:

Fax   e-mail    Post

WHO OWNS THE BUSINESS

Director/Proprietor 1:

Name:

Address:

Post Code:

Director/Proprietor 2:

Name:

Address:

Post Code:

Director/Proprietor 3:

Name:

Address:

Post Code:

CREDIT APPLICATION

Intended frequency of orders:

Weekly    Monthly

Credit required per month:

£

Name of applicant:

REFERENCES

Trade Reference 1:

Name:

Address:

Post Code:

Telephone:

Fax:

Trade Reference 2:

Name:

Address:

Post Code:

Telephone:

Fax:

ACCEPTANCE OF TERMS & CONDITIONS

I have read, understood and accept the International Food Terms & Conditions and specifically acknowledge that I shall make payment for goods within 28 days of the delivery date, unless otherwise agreed. I also acknowledge that all queries must me made within 3 days of delivery.

Name of Applicant:

Position:

Telephone: